CALIFORNIA GARDENS NURSING CENTER NPI 1801023759

NPI Information

NPI: 1801023759
Provider Name: CALIFORNIA GARDENS NURSING CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 14D0874415

Address:
2829 S CALIFORNIA AVE
CHICAGO, IL
ZIP 60608
Phone: (773) 847-8061
Get Directions

CALIFORNIA GARDENS NURSING CENTER is an oxygen equipment and supplies durable medical equipment medical supplies in Chicago, IL. CALIFORNIA GARDENS NURSING CENTER NPI is 1801023759. The provider is registered as an organization entity type.

The provider's business location address is:

2829 S CALIFORNIA AVE
CHICAGO, IL
ZIP 60608-106
Phone: (773) 847-8061
Fax: (773) 847-1603

The provider's authorized official is Reuven Levitin .
The authorized official title is Patient Accounts Manager and has the following contact phone number (847) 745-6240.

The CLIA number assigned to this NPI record is 14D0874415 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	0040022	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1700957925	OTHER		NPI
2	14-5625	MEDICARE PIN
3	=========001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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